Provider Demographics
NPI:1972670552
Name:PRIYADARSHI, SNIGDHA S (MD)
Entity Type:Individual
Prefix:DR
First Name:SNIGDHA
Middle Name:S
Last Name:PRIYADARSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 AMBERWOOD PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-4426
Mailing Address - Country:US
Mailing Address - Phone:615-662-6930
Mailing Address - Fax:
Practice Address - Street 1:3400 LEBANON RD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1237
Practice Address - Country:US
Practice Address - Phone:615-225-2489
Practice Address - Fax:615-225-4831
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41165207P00000X, 207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNI72815OtherHEALTHSPRINGS
TN4143896OtherBCBS & TENNCARE
TN3833564Medicare ID - Type Unspecified